Evidence map›Paper›PMID 31107397›Full record

ArticleMedical care2019

Effects of Changes in ICU Bed Supply on ICU Utilization.

Ian J Barbash, David J Wallace, Jeremy M Kahn

Registry-linked trialAbstract read
In one paragraph

Article in Medical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07768410 (Supply Induced Demand in Intensive Care Unit), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07768410 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Supply Induced Demand in Intensive Care Unit: a Retrospective Trial

TypeobservationalSponsorSaint Camillus International University of Health SciencesRan2026 to 2026Enrolled1,500ConditionsIntensive Care (ICU), Intensive Care Unit (ICU) Admission, Intensive Care Unit Survivors, SID
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ian J BarbashDivision of Pulmonary, Allergy, and Critical Care Medicine.
David J WallaceDepartment of Critical Care Medicine, CRISMA Center.
Jeremy M KahnDivision of Pulmonary, Allergy, and Critical Care Medicine.

Funding

Evaluating National Sepsis Policy Using the Electronic Health RecordK08HS025455 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BARBASH, IAN · 2018 to 2022
$737k
Understanding Regional Critical Care Delivery in Acute Respiratory FailureK08HL122478 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WALLACE, DAVID JOHN · 2015 to 2018
$606k
Patient Oriented Research and Mentoring in Critical Care Implementation ScienceK24HL133444 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAHN, JEREMY M · 2016 to 2018
$348k
The impact of variation in the ICU bed supply on utilization of intensive care servicesF32HL132461 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BARBASH, IAN · 2016 to 2017
$108k
AHRQ HHS K08 HS025455NHLBI NIH HHS F32 HL132461NHLBI NIH HHS K08 HL122478NHLBI NIH HHS K24 HL133444
6 · The paper itself

Abstract

backgroundThe availability of intensive care unit (ICU) beds may influence the demand for critical care. Although small studies support a model of supply-induced demand in the ICU, there is a paucity of system-wide data.

objectiveThe objective of this study was to determine the relationship between ICU bed supply and ICU admission in United States hospitals. RESEARCH

designRetrospective cohort study using all-payer inpatient records from Florida, Massachusetts, New Jersey, New York, and Washington from 2010 to 2012, linked to hospital data from Medicare's Healthcare Cost Reporting Information System. SUBJECTS: Three patient groups with a low likelihood of benefiting from ICU admission-low severity patients with acute myocardial infarction and pulmonary embolism; and high severity patients with metastatic cancer at the end of life. MEASURES: We compared the risk-adjusted probability of ICU admission at hospitals that increased their ICU bed supply over time to matched hospitals that did not, using a difference-in-differences approach.

resultsFor patients with acute myocardial infarction, ICU supply increases were associated with an increase in the probability of ICU admission that diminished over time. For patients with pulmonary embolism, there was a trend toward an association between change in ICU supply and ICU admission that did not meet statistical significance. For patients with metastatic cancer, admission to hospitals with an increasing ICU supply was not associated with changes in the probability of ICU admission.

conclusionsIncreases in ICU bed supply were associated with inconsistent changes in the probability of ICU admission that varied across patient subgroups.

Indexed as

Bed OccupancyHealth Services Needs and DemandHospitalizationHumansIntensive Care UnitsMedicareMyocardial InfarctionNeoplasmsPulmonary EmbolismRetrospective StudiesSeverity of Illness IndexUnited States

Identifiers

PMID31107397
PMCPMC6565460

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.